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Montana rates for HCPCS 35693

Trpos&/Rimpltj Vertebral Subclavian Art

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.24 / $4,221.14 / $4,221.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.52 / $1,294.52 / $1,294.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,051.61 / $1,294.52 / $1,294.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.52 / $1,649.70 / $1,695.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.58 / $1,122.83 / $1,715.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,020.91 / $1,020.91 / $1,020.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.89 / $1,451.41 / $2,259.76